Organization
CLEOTILDE S JOSE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEOTILDE S JOSE M.D. (CEO)
(310) 559-2046
Entity
Organization
Contact information
Practice address
9726 VENICE BLVD, CULVER CITY, CA 90232-2717
(310) 559-2046
(310) 559-1928
Mailing address
9726 VENICE BLVD, CULVER CITY, CA 90232-2717
(310) 559-2046
(310) 559-1928
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A24688
CA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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